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Differences in Non-Suicidal Self-Injury and Suicide Attempts in Adolescents

NCJ Number
229969
Journal
Journal of Youth and Adolescence Volume: 39 Issue: 3 Dated: March 2010 Pages: 233-242
Author(s)
Amy M. Brausch; Peter M. Gutierrez
Date Published
March 2010
Length
10 pages
Annotation
This study investigated the differences among a group of adolescents with varying levels of self-harmful behavior, and explored the role of both risk and protective factors in the adolescents' behavior.
Abstract
As suicide attempts and self-injury remain predominant health risks among adolescents, it is increasingly important to be able to distinguish features of self-harming adolescents from those who are at risk for suicidal behaviors. The current study examined differences between groups of adolescents with varying levels of self-harmful behavior in a sample of 373 high school students with a mean age of 15.04 (SD = 1.05). The sample was 48 percent female and the distribution of ethnicity was as follows: 35 percent Caucasian, 37.2 percent African-American, 16 percent Multi-ethnic, 9.2 percent Hispanic, and 2.3 percent Asian. The sample was divided into three groups: no history of self-harm, non-suicidal self-injury (NSSI) only, and NSSI in addition to a suicide attempt. Differences in depressive symptoms, suicidal ideation, social support, self-esteem, body satisfaction, and disordered eating were explored. Results indicated significant differences between the three groups on all variables, with the no self-harm group reporting the lowest levels of risk factors and highest levels of protective factors. Further analyses were conducted to examine specific differences between the two self-harm groups. Adolescents in the NSSI group were found to have fewer depressive symptoms, lower suicidal ideation, and greater self-esteem and parental support than the group that also had attempted suicide. The clinical implications of assessing these specific psychosocial correlates for at-risk adolescents are discussed. Tables and references (Published Abstract)